ESBD_572523_1793304589809_601440000054841 Child Support Obligation Schedule.pdf

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Attached to
Propeller Overhaul with Service Bulletin Compliance on N200RR for TxDOT's Aviation Division
Solicitation number
601440000054841
Issued by
Texas

About this file

This is a Child Support Obligation Schedule form required by the State of Texas for respondents to a solicitation (No. 601440000054841) related to a propeller overhaul project with service bulletin compliance for TxDOT's Aviation Division. The form serves as a certification of eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006. Respondents and any individuals or business entities named in the solicitation must complete and sign the schedule, acknowledging that the contract may be terminated and payment withheld if the certification is inaccurate. Any response submitted must include the names and social security numbers of persons or entities holding at least twenty-five percent ownership interest in the business entity submitting the response.

Respondents meeting the ownership criteria must provide the names and last four digits of social security numbers for up to three owners, or may indicate that the schedule is not applicable if ownership criteria are not met. The completed and signed schedule must be returned with the response; failure to sign and return this page may result in the response being considered non-responsive. Disclosure of social security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for identification of persons who may owe child support, with the information kept confidential to the fullest extent allowed by law.

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ESBD_572523_1793304562892_IFB 601440000054841.pdf PDF

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Text version

1 - 2 Revised 09/18/2026

Child Support Obligation Schedule

Solicitation No.

Ineligibility to Receive State Grants or Loans or Receive Payment on State

Contracts

Respondent shall fill out the appropriate information, sign and return the schedule.

Under Family Code §231.006, relating to child support obligations, Respondent and any other individual or business entity named in this solicitation are eligible to receive the specified payment and acknowledge that this contract may be terminated and payment withheld if this certification is inaccurate. Any response submitted under this solicitation shall contain the names and social security numbers of person or entity holding at least a twenty-five percent ownership interest in the business entity submitting the response. Respondents meeting the ownership must complete the following:

XXX-XX

Name Social Security Number

XXX-XX

Name Social Security Number

XXX-XX

Name Social Security Number

2 - 2

If the respondent does not meet the ownership criteria under Texas Family code - Section 231.006, mark on the line below, sign and return the schedule.

This Schedule is not applicable

FEDERAL PRIVACY ACT NOTICE: This notice is given pursuant to the Federal

Privacy Act. Disclosure of your Social Security (SSN) is required under

Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code. The

SSN will be used to identify persons that may owe child support. The SSN will be kept confidential to the fullest extent allowed under Section 231.302(e), Texas Family Code.

Signature:

Name

Title

THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN

AND RETURN THIS PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED

NON-RESPONSIVE.

Child Support Obligation Schedule
Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts
solicitation_number: 601440000054841
owner_1_name:
owner_1_ssn_last4:
owner_2_name:
owner_2_ssn_last4:
owner_3_name:
owner_3_ssn_last4:
not_applicable: Off
signature:
printed_name:
title:

File details come from the government source that posted it. Updated .